Physiotherapists Role in the Management of Musculoskeletal Disorders

Prof Paul Watson

University of Leicester, Department of Health Sciences, New Academic Unit. Leicester General Hospital, UK

Patients perspective of treatment for MSP

Too much focus on medication and treatments. Not much focus on work/function. Poor communication with workplace. Concentration on what not to do. OH support does not exist or is offered late Easier for HCP to sanction work loss. See how you feel advice culture. Absence management and illness not integrated

(Patel et al 2007, Coole et al 2009, Coole et al 2010)

What is helpful to the patient?

Information to allow pt to take control. Realisation hurt does not mean harm. Information to empower pt to discuss with employer. Communication between HCP and workplace Supportive employer and supportive colleagues Availability of modified duties/modified workplace. Active involvement of OH.

(Coole, Watson, Drummond BMC MSD 2010)

What else?
Evaluation of OH provision in Europe aim for EU standard Occupational health core to training in key professions; GPs and physiotherapists. Commissioning healthcare services Occupational outcomes for the employed. Communication with the workplace Joint planning of return to work Evidence of VR in health condition management. Incentives for employers to engage in best practice. Engage SMEs. Return to work and societal costs evaluation to be mandatory in EU funded healthcare research